[0001] The present invention refers to the field of medicine (in particular, to apheresis)
and more particularly to platelets preservation in the form of platelet concentrate.
BACKGROUND OF THE INVENTION
[0002] A method for preserving cells and cell cultures (described in
PCT Patent Application Publication No. WO/2012/109107) is known. The method was developed for reducing apoptosis in nucleated cells. The
method entails holding nucleated cells in a container and adding a gas containing
xenon to the container so that the pressure inside the container reaches between 0.5
to 4.0 atm. above ambient pressure; holding the container at between 0.5 to 4.0 atm.
above ambient pressure for a period of time during which the temperature in the container
is between 22°C and 37°C; lowering the temperature in the container to between 0.1°C
and 10°C while maintaining the pressure of 0.5 to 4.0 atm. Above ambient pressure
and holding the container for a period of time; and reducing the pressure in the container
to ambient pressure and increasing the temperature to 22°C to 37°C. By performing
these steps, the patent application discloses that the cells undergo less apoptosis
than compared to cells that do not undergo such a treatment. The implementation of
this method involves placing the cells in a container capable of withstanding up to
4.0 atm. of excess pressure in relation to atmospheric pressure. It is known that
the standard platelet storage method involves storing platelets in a bag. The seams
of such standard bags do not allow using this bag for implementing the above-indicated
storage method. The creation of a bag capable of withstanding the above-mentioned
high pressure would increase the bag cost, which is highly undesirable because these
bags are single-use products. Also, this method is mainly intended for preserving
nucleated cells, while the platelets are anucleated cells.
[0003] A method for preserving platelets, described in
US Patent Publication No. 2010/0009334, is known. This method involves the preparation of platelet plasma out of the whole
donated blood; keeping the platelet plasma in a gas medium containing from 65% to
100% of xenon under pressure for approximately 3.5 to 5 bars; subsequently cooling
the platelet plasma down to a temperature of approximately 3°C to 6°C; and storing
the platelet plasma range under the conditions of the above-indicated temperature
and pressure of gas medium.
US 2010/0009334 discloses that the method is implemented by placing the platelet concentrate in a
gas-impermeable container into which a xenon-containing gas medium is fed under pressure.
US 2010/0009334 also discloses the use of conventional gaspermeable bags intended for storing biological
fluids (in particular, blood and blood components) and placing the gas-permeable bags
in a gas-impermeable container into which a xenon-containing gas medium is fed under
pressure. This method provides storage of platelets during a period of at least one
week, which may not be long enough for some applications.Secondly, this method is
best performed on small volumes of platelet concentrate-of the order of units of ml
(i.e., placed into a vial, for example). It is believed that a sufficient amount of
oxygen (required for maintaining metabolic processes in plasma) stays in a vial partially
filled with such volume of platelet plasma. However, in actual practice, the platelets
are required to be stored in standard bags with a volume of at least 200 ml, not in
small vials. When the platelets are stored in bags, the amount of oxygen available
for platelets may be insufficient for aerobic respiration, which can limit the duration
of platelet plasma storage.
[0004] Another method for preserving platelets in the gas mixture (
PCT Application No. PCT/US2012/057211 [
WO 2013/049118]) is known. According to this method, a platelet concentrate (obtained in advance
from whole human blood) is kept in a gas mixture with xenon content from 79% to 95%
and oxygen content from 5% to 21% under pressure from 3.5 to 5 bars at a temperature
from 18°C to 23°C, after which it is cooled down to a temperature from 3 °C to 6°C
and placed for storage under the conditions of the above-indicated composition and
pressure of gas mixture and at above-indicated temperature. In this method, oxygen
serves as a component of the gas mixture, in which the gas-permeable bag with platelet
concentrate is stored. A design of the storage device for this method is not described.
[0005] A method and device for preserving blood or its components in a gas medium under
pressure and system for the same (PCT Application No.
PCT/US2012/043449 [
WO 2012/177820]) is known. According to this document, blood or blood components are placed in a
bag that is made of a xenon gas-permeable material. The bag is then placed into a
hermetically-sealed cylindrical chamber into which xenoncontaining gas (with a xenon
content of at least 65%) is fed under pressure until the pressure in the chamber reaches
the value approximately from 3.5 bars to 5 bars, after which the chamber is placed
for storage at a temperature within the range from 3°C to 6°C. Bags that are made
of the gas-permeable material that are designed to allow xenon to pass through the
bag are used for the implementation of this method. In this method, the xenon-containing
gas (fed under pressure into the chamber) passes through the bag wall, after which
blood or blood components in the bag are saturated with xenon. According to this method,
the bag with the blood or blood components is placed in a cylindrical chamber and,
during storage, the chamber is positioned vertically. The bag in the chamber is also
positioned vertically, and the blood or blood components are not stirred in the course
of storage. The absence of stirring and the vertical position of the bag in the course
of storage can lead to a situation in which the platelets get deposited on a small
area of the bag bottom, thus forming a dense deposit by the end of the storage period.
Platelets in such a deposit can change their properties and a considerable part of
the platelets can be activated and stick together. Platelets that are stuck to one
another produce micro-aggregates which can result in the reduction in the number of
free platelets, which in its turn, can lead to a decrease in platelet concentrate
efficiency. Moreover, the sticking together of the platelets can lead to the formation
of aggregates of quite considerable size, which could be detrimental for a recipient
because, after transfusion, such aggregates may be capable of clotting the blood vessels,
thus leading to disturbed blood circulation.
[0006] In view of the current state of the art, there is a need for a method for preserving
platelet concentrate under pressure that does not lead to the formation of a dense
deposit and aggregates of platelets.
SUMMARY OF THE INVENTION
[0007] The present invention is directed to a method for preserving platelet concentrate
involving the use of a gas mixture (e.g., xenon and oxygen) under pressure that does
not lead to the formation of a dense deposit and aggregates of platelets. The present
invention provides a method as defined in the appended claims.
[0008] In one non-limiting aspect of the present disclosure, which does not form part of
the present invention, there is provided a platelet concentrate preservation method
which includes stages of platelet concentrate packaging, treatment of packaged platelet
concentrate with a gas mixture containing xenon and oxygen, and storage of treated
platelet concentrate and preparation for use. In accordance with the non-limiting
process of the present disclosure, the platelet concentrate is placed in a hermeticallysealed
bag (made of material that is permeable to xenon and oxygen). The bag can optionally
have a general shape of a flat container. The bag with the platelet concentrate can
then be optionally placed in a hermetically-sealed chamber, into which a gas mixture
of xenon and oxygen is fed. The content of the xenon in the gas mixture is greater
than the xenon content in the air at sea level. In one non-limiting aspect of the
invention, the xenon content of the gas mixture is at least 5% by volume and up to
99.99% by volume (e.g., 5%, 5.001%, 5.002% ... 99.988%, 99.989%, 99.99%) and any value
or range therebetween. In another non-limiting aspect of the disclosure, the xenon
content of the gas mixture is from about 50% to 99.9% by volume, typically about 55%
to 99% by volume, more typically about 60% to 98% by volume, yet more typically about
70% to 97% by volume, and still yet more typically about 79% to 95% by volume. In
still another non-limiting aspect of the disclosure, the oxygen content of the gas
mixture is at least about 0.01 % by volume. In yet another non-limiting aspect of
the disclosure, the oxygen content of the gas mixture is about 0.01 % to 50% by volume
(e.g., 0.01 %, 0.011 %, 0.0112% ... 49.998%, 49.999%, 50%) and any value or range
therebetween. In still yet another non-limiting aspect of the disclosure, the oxygen
content of the gas mixture is about 0.1 % to 45% by volume, more typically about 2%
to 40% by volume, still more typically about 3% to 30% by volume, and yet still more
typically about 5% to 21 % by volume. The gas mixture generally includes 0% to 5%
by volume (e.g., 0%, 0.0001 %, 0.0002% ... 4.998%, 4.999%, 5%) and any value or range
therebetween of a gas that is other than xenon or oxygen. In another non-limiting
aspect of the disclosure, the gas mixture is fed under pressure at a pressure that
is greater than atmospheric pressure at sea level (e.g., 1 atm.). In still another
non-limiting aspect of the disclosure, the gas mixture is fed under pressure at a
pressure that is 1 to 20 bars (e.g., 1 bar, 1.01 bars, 1.02 bars ... 19 .98 bars,
19 .99 bars, 20 bars) and any value or range therebetween greater than atmospheric
pressure at sea level. In yet another non-limiting aspect of the disclosure, the gas
mixture is fed under pressure at a pressure that is about 1.01to 20 bars greater than
atmospheric pressure at sea level, more typically about 1.1 to 15 bars greater than
atmospheric pressure at sea level, still more typically about 1.5 to 10 bars greater
than atmospheric pressure at sea level, yet still more typically about 2 to 8 bars
greater than atmospheric pressure at sea level, and further more typically about 3.5
to 5 bars greater than atmospheric pressure at sea level. In another non-limiting
aspect of the disclosure, the gas mixture is fed to the bag at a temperature of generally
at least about 15°C. In still another non-limiting aspect of the disclosure, the gas
mixture is fed to the bag at a temperature of 15°C to 35°C (e.g., 15°C, 15.01°C, 15.02°C
... 34.98°C, 34.99°C, 35°C) and any value or range therebetween. In yet another non-limiting
aspect of the disclosure, the gas mixture is fed to the bag at a temperature of about
18°C to 35°C, and more typically about 20° to 24°C. In another non-limiting aspect
of the invention, the platelet concentrate is generally kept under the conditions
of the above-indicated gas mixture composition, gas mixture pressure and temperature
until the platelets are partially saturated (e.g., 50%, 60%, 70%, 75%, 80%, 85%, 90%,
95%, 98%, 99%, etc.) or fully saturated with xenon. Thereafter, the bag with platelet
concentrate is cooled down to a temperature below about 1 5°C and above the freezing
point of the platelet concentrate in the bag (e.g., about 0°C) and any value or range
therebetween (e.g., 0.01°C, 0.02°C, 0.03°C ... 14.97°C, 14.98°C, 14.99°C) and then
placed for storage. In still another aspect of the disclosure, the bag with platelet
concentrate is cooled down to a temperature of 0.01°C to 15°C, more typically about
1°C to 10°C, and still more typically about 3°C to 6°C and then placed for storage.
In yet another non-limiting aspect of the present disclosure, the bag of platelet
concentrate while in storage is optionally placed in a generally horizontal position
(with flat side down) under the conditions of the above-indicated composition and
above-indicated gas mixture, gas pressure and temperature. For purposes of the present
disclosure, the horizontal position is defined as the longitudinal axis of the bag
is positioned horizontal to a ground surface (e.g., earth surface). Prior to using
the preserved platelet concentrate after the storage of the platelet concentrate,
the contents of the bag can optionally be stirred (e.g., placing the bag on a shaker,
shaking the bag with platelet concentrate, etc.). Prior to using the preserved platelet
concentrate after the storage of the platelet concentrate, the excess gas pressure
in the bag is generally released. Prior to using the preserved platelet concentrate
after the storage of the platelet concentrate, the bag with platelet concentrate can
for a time period (e.g., 0.001-20 hours) and any value or range therebetween, to warm
up (e.g., naturally warmed up, etc.) to a temperature (e.g., 12°C to 35°C) and any
value or range therebetween at which it is permissible to use the platelet concentrate.
[0009] One non-limiting distinctive feature of the method of the present disclosure includes
the fact that with this method, the bag with platelet concentrate (e.g., having a
general shape of a flat container) can be stored in horizontal position (i.e., with
flat side facing down), and prior to using the platelet concentrate, it can be first
stirred and then the pressure excess of the gas mixture can be released. With such
an approach to storage, a minimal thickness of any deposit formed in the process of
platelet sedimentation during storage is ensured. Any diffused deposit that forms
in the bag can be easily disintegrated in the course of stirring or shaking the contents
of the bag, and the use of pressure excess of the gas mixture in the bag makes it
possible to avoid intensive bubble generation during stirring and/or shaking of the
bag.
[0010] In accordance with the present invention, there is provided a method for platelet
concentrate storage according to claim 1. The method employs a device for preserving
blood products that is designed to be able to preserve blood products in a gas medium
under pressure. The device for preserving blood products includes a chamber that can
be hermetically-sealed and a high-strength casing that is designed to partially or
fully receive the chamber. The chamber is formed of two parts that are designed to
be joined together in such a way that after the joining of the two parts, the two
parts form a cavity. The cavity can be an airtight cavity. The cavity is designed
to partially or fully accommodate a bag that contains a blood product, specifically
a platelet concentrate. The bag that contains the blood product is formed of a gas-permeable
material. The chamber (e.g., hermetically-sealed chamber) can optionally include an
inlet channel that fluidly connects the cavity to the exterior of the chamber. The
inlet channel can be used to feed gas into and/or remove gas from the cavity. The
high-strength casing includes two parts that are intended to be joined together. One
or both parts of the high-strength casing can include a pocket. The pocket is generally
located in the central area of one or both parts; however, this is not required. The
pocket is designed to partially or fully receive the chamber. In one non-limiting
design, the one or more pockets are designed to fully receive the chamber such that
when the one or more parts of the high-strength casing are connected together, the
chamber is fully encompassed in the one or more pockets of the one or more parts of
the highstrength casing. The connection of the pockets forms the chamber cavity for
the chamber. The design of the pockets is non-limiting. In one non-limiting design,
the total depth of the one or more pockets is sufficient to fully place the chamber
into the one or more pockets, and the height of the one or more pockets is such that
a minimal gap is formed between the inner surface of the one or more pockets and the
outer surface of the chamber when the chamber is inserted into the one or more pockets;
however, this is not required.
[0011] Due to the fact that the device for preserving blood products used in the method
of the invention includes at least two components - namely, a chamber and a high-strength
casing (which two components perform different functions), the device for preserving
blood products has resulted in the formation of an all-purpose, reliable, easy-to-manufacture
and easy-to-use device that can be used in the preservation of a platelet concentrate.
The chamber is designed to contact a bag that includes a blood product, specifically
a platelet concentrate. One non-limiting desirable design requirement of the chamber
is a low-cost design. This non-limiting requirement can be satisfied since the chamber
is not required to be designed to withstand large forces. As such, the chamber can
be formed or include inexpensive materials (e.g., plastics, coated paper or paper
board, etc.) that are formed into the chamber by using highly productive technologies
(e.g., casting, die molding, stamping, compression molding, etc.); however, this is
not required. The main load arising in the course of filling the chamber with gas
is exerted upon the high-strength casing, into which the chamber is placed.
[0012] The casing can be made of various high-strength materials (metal, wood, composite
materials, ceramic, fiber reinforced materials, etc.). These materials can be formed
by various processes (molding, stamping, welding, extrusion, etc.). Generally, the
high-strength materials used to form the casing are at least about 2 times stronger
and at least 2 times more rigid (e.g., 2-10,000 times, 5-1000 times, 10-500 times,
20-100 times, etc.) than the materials used to form the chamber when similar thickness
materials are compared; however, this is not required. Generally, the high-strength
material used to form the casing is made of a different material from the material
used to form the chamber; however, this is not required. Generally, the highstrength
material is a thicker material and/or a more rigid material than the material used
to form the chamber; however, this is not required.
[0013] The pockets of the one or more parts of the high-strength casing (into which the
chamber is placed) are made deep enough for the accommodation of the chamber, while
the height of the one or more pockets is sufficient to place the chamber into the
pockets while maintaining a minimal gap between the interior surface of the one or
more pockets and the outer surface of the chamber. Such gap is generally at least
about 0.00254 cm (0.001 inches) and typically no more than about 1.27 cm (0.5 inches)
and any value or range therebetween (e.g., 0.00254 cm (0.001 inches), 0.0028 cm (0.0011
inches), 0.0030 cm (0.0012 inches) ... 1.2694 cm (0.4998 inches), 1.2697 cm (0.4999
inches), 1.27 cm (0.5 inches)). In one non-limiting arrangement, the gap is about
0.00254 cm - 0.635 cm (0.001-0.25 inches), and typically about 0.0254 cm - 0.254 cm
(0.01-0.1 inches).
[0014] The design of the high-strength casing generally results in the transfer of the load
(arising in the course of filling the chamber with gas and the gas acting on the chamber
walls) directly to the high-strength casing. The design of the high-strength casing
generally results in the prevention of significant deformation and damage to the chamber
during the introduction, maintaining and removal of gas; however, this is not required.
The high-strength casing can be designed to be a reusable unit; however, this is not
required. The chamber can also be designed to be a reusable unit; however, this is
not required. When the high-strength casing is designed to be a reusable unit, it
is more acceptable that the cost be higher than that of the chamber, which is generally
a disposable component; however, this is not required. As such, the high-strength
casing is generally formed of more expensive materials to ensure the required strength
and durability of the high-strength casing.
[0015] In still another non-limiting aspect, the size and shape of the cavity (e.g., airtight
cavity) that is formed after the parts of the chamber are joined together closely
or exactly to match the size and shape of the bag with blood product that is to be
placed in the cavity; however, this is not required. For example, when taking the
shape of standard bags for blood products into account (which is close to a generally
rectangular shape in a plan view), the chamber can be shaped generally as a parallelepiped,
the legs of which are characterized by proportions close to those characterizing sides
of the bag filled with blood product, and both parts of the chamber can be made essentially
flat. The cavity can also include recesses in the central area of the cavity. The
recesses form the cavity (e.g., air-tight cavity, etc.) that is designed to accommodate
a bag containing blood product when positioned in the cavity of the chamber. In one
non-limiting embodiment, the size and shape of the cavity is designed such that, when
the bag is placed in the cavity, at least about 75% of the volume of the cavity is
filled by the bag; however, this is not required. In one non-limiting aspect of the
invention, about 75%-100% (e.g., 75%, 75.01%, 75.02% ... 99.98%, 99.99%, 100%) and
any value of range therebetween, of the volume of the cavity is filled by the bag.
[0016] In a non-limiting embodiment of the method of the invention, the chamber can be designed
to form a hermetically-sealed cavity when the parts of the chamber are connected together;
however, this is not required. In one non-limiting design, the air tightness of the
cavity is formed by a sealing arrangement (e.g., sealing ring, groove arrangement,
etc.) between the parts of the chamber. One non-limiting sealing arrangement is the
result of joining the parts of the chamber together, which parts include annular grooves
that are made along the perimeter of each part of the chamber. After both parts of
the chamber are joined together, the grooves form an annular channel into which a
gasket is laid (the latter is shaped as a ring or the like made of flexible material
- e.g., rubber, polymer material, etc.). As can be appreciated, other or additional
arrangements can be used for the air-tight cavity.
[0017] In still yet another non-limiting embodiment of the invention, the parts of the high-strength
casing can be embodied as a honeycomb structure produced by strengthening ribs oriented
in one or more planes (e.g., three orthogonal planes, etc.) and forming the pocket
in the high-strength casing that is designed to receive the chamber; however, this
is not required. In such a configuration, the high-strength casing allows for the
reduction of weight and the material needed for the manufacturing of the high-strength
casing and still achieves the desired strength and durability of the high-strength
casing.
[0018] In another non-limiting embodiment of the invention, the high-strength casing can
include connecting flanges to ensure reliable joining of the parts of the high-strength
casing; however, this is not required. As can be appreciated, other or additional
arrangements can be used to ensure reliable joining of the parts of the high-strength
casing. The connecting flanges, when used, can be formed about the pocket of the parts;
however, this is not required. Many different arrangements can be used to connect
the flanges together, when used. For example, the flanges could include fastening
elements. One non-limiting design for a fastening element is that one flange could
be equipped with twist locks made as a fixing catch (secured in such a way that it
can be turned) on a bar installed perpendicular to the plane of flanges joined, while
matching cuts are made in the other flange for the twist locks. For such an arrangement,
when joining the flanges together, the twist locks located on one flange are passed
through matching cuts made in the other flange when the parts of the high-strength
casing are positioned together. After connecting the flanges together, the catches
are turned and the catches become engaged with the rear side of the flanges, thereby
releasably securing together the parts of the high-strength casing. As can be appreciated,
many other arrangements can be used to releasably secure together the parts of the
high-strength casing. In accordance with the invention, when the parts of the high-strength
casing are connected together, a chamber cavity is formed that is designed to receive
the chamber that holds the bag of platelet concentrate. In one non-limiting arrangement,
the chamber cavity is hermetically-sealed when the parts of the high-strength casing
are connected together; however, this is not required. In one non-limiting design,
the air tightness of the chamber cavity is formed by a sealing arrangement (e.g.,
sealing ring, groove arrangement, etc.) between the parts of the high-strength casing.
The size and shape of the chamber cavity that is formed after the parts of the high-strength
casing are connected together closely or exactly match the size and shape of the chamber
that is to be placed in the chamber cavity; however, this is not required. In one
non-limiting embodiment, the size and shape of the chamber cavity is designed such
that when the chamber is placed in the chamber cavity and the parts of the high-strength
casing are connected together, at least about 50% of the volume of the chamber cavity
is filled by the chamber; however, this is not required. In one non-limiting aspect
of the invention, about 75%-100% (e.g., 75%, 75.01 %, 75.02% ... 99.98%, 99.99%, 100%)
and any value of range therebetween, of the volume of the chamber cavity is filled
by the chamber.
[0019] In still another and/or alternative non-limiting aspect of the invention, the high-strength
casing can include one or more fittings that provide fluid communication with the
chamber when the parts of the high-strength casing are connected together; however,
this is not required. In one non-limiting configuration, the one or more fittings,
when used, could be installed on the end face of one part of the high-strength casing.
The one or more fittings can include a channel that fluidly connects the chamber in
the high-strength casing to the outside of the high-strength casing. The fitting can
also be designed so as to be positioned in such a way that when the chamber is positioned
in the chamber cavity (that is formed by the pockets of the parts of the high-strength
casing), the fitting is fluidly connected to the inlet channel that fluidly connects
the chamber cavity to the exterior of the high-strength casing. This connection between
the fitting and the inlet channel can be an air-tight connection; however, this is
not required. Such an arrangement enables gas to be inserted into and/or removed from
the interior of the cavity of the chamber via the fitting and the inlet channel. The
fitting can optionally have a projecting part on its inner side which matches the
recess made in the chamber and connected with the inlet channel, and the connection
can optionally be provided via the use of a sealing gasket laid into the annular groove
made on the side surface of the projecting part. As can be appreciated, many other
arrangements can be used. Also, a one-way valve can optionally be installed on/included
in the fitting which can be used to allow the pumping of gas into the cavity of the
chamber and, on the other hand, prevent gas egress from the cavity.
[0020] In yet another embodiment of the invention, the high-strength casing can include
an end-to-end inlet channel that is located on one or more parts of the high-strength
casing; however, this is not required. This channel can be designed to be oriented
generally perpendicular to the horizontal plane of a side of the high-strength casing;
however, this is not required. A side channel can be provided that abuts to the end-to-end
channel, and the side channel can be designed to be oriented in the direction of the
pocket of the part of the high-strength casing and terminate at a location where the
inlet channel in the high-strength casing is connected. The end fittings can optionally
include valves (e.g., one-way valve, etc.) through which gas can be fed into the high-strength
casing and chamber. The one or more valves can be installed on one or both ends of
the end-to-end inlet channel. Another fitting can optionally be installed in the side
channel. This fitting can be designed for an airtight connection with the inlet channel
of the chamber; however, this is not required. Such a non-limiting configuration can
be used such that, after the chamber is placed into the chamber cavity of the high-strength
casing, the cavity (e.g., airtight cavity) of the chamber is fluidly connected with
the end-to-end inlet channel into which gas can be fed through and/or released from
one of the end fittings. In one non-limiting design, the end fittings can be quick-disconnect
couplings. As can be appreciated, the end fittings can have other configurations.
In this particular design, an end fitting on the device for preserving blood products
can be made in such a way that an airtight connection with an end fitting of another
device is formed. This arrangement provides an opportunity to assemble several devices
for preserving blood products in a stack by fastening them to one another by means
of their end fittings. Thus, the end-to-end inlet channels of the devices for preserving
blood products can be connected in series, thus forming a single inlet channel, through
which gas can be fed concurrently into all these devices. As can be appreciated, other
connection arrangements for a plurality of devices for preserving blood products can
be used.
[0021] In still yet another embodiment of the present invention, the high-strength casing
can include a drainage or release valve in which the end-to-end inlet channel is arranged;
however, this is not required. The drainage or release valve can be used to release
gas from the chamber; however, this is not required. In this non-limiting design,
the drainage or release channel can be oriented to abut to the end-to-end inlet channel
and to connect to the outer surface of a part of the high-strength casing, thus connecting
the end-to-end inlet channel with the ambient atmosphere. The drainage or release
valve allows for the releasing of gas from the chamber that is located in the chamber
cavity of the high-strength casing when necessary. The drainage valve can be made
as a rotary-type valve, the handle of which is located on the external side of a part
of the high-strength casing; however, other arrangements can be used.
[0022] In another non-limiting embodiment of the present invention, the parts of the high-strength
casing can include projections on the external side or outer surface of the parts;
however, this is not required. The projections, when used, can be oriented in opposite
directions relative to the horizontal plane of the high-strength casing; however,
this is not required. The projections can be used to assemble together several devices
for preserving blood products in a stack configuration. In this non-limiting design,
projections on one device for preserving blood products are shifted in the horizontal
plane relative to the projections on another device for preserving blood products
in such a way that when arranging several devices in a stack, the projections of one
device interact with the projections of the other device (located above the first
one). As such, two or more devices can be stacked on top of one another by use of
the projections on the devices. In such an arrangement, the projections facilitate
in keeping the stacked devices in place relative to one another. Additionally, the
projections can be equipped with fasteners (e.g., screws, clamps, clips, etc.) to
ensure a higher reliability of connecting together the stacked-together devices (needed,
for example, for transportation purposes); however, this is not required.
[0023] It is an object of the present invention to provide a method for improved platelet
concentrate storage.
[0024] It is another object of the present invention to provide a method for storing platelet
concentrate and to minimize the formation of aggregates of platelets during the storage
of the platelet concentrate.
[0025] These and other objects and advantages will become apparent from the following description
taken together with the accompanying drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
[0026] Reference may now be made to the drawings, which illustrate several non-limiting
embodiments useful for understanding the invention wherein:
Fig. 1 illustrates comparative data characterizing platelet level of aggregation (as
percentage of the initial number of platelets) when preserving and storing platelets;
Fig. 2 illustrates comparative data characterizing the degree of platelet preservation
(as percentage in relation to the maximum level of aggregation) when preserving and
storing platelets;
Fig. 3 illustrates an exploded view of one non-limiting blood product preservation
device for use in the method of the present invention;
Fig. 4 illustrates a front elevation view of the device shown in Fig. 3, wherein the
hermetically-sealed chamber is in the assembled state and inserted into one of the
parts of the high-strength casing;
Fig. 5 illustrates a front elevation view of the hermetically-sealed chamber as two
individual parts;
Fig. 6 is an enlarged cross-sectional view of a point of joining of two parts of the
hermetically-sealed chamber;
Fig. 7 is a front elevation cross-sectional view of the assembled device illustrated
in Fig. 3;
Fig. 8 illustrates an enlarged sectional cross-sectional view of the assembled device
illustrated in Fig. 3;
Fig. 9 illustrates an enlarged sectional cross-sectional view of the assembled device
illustrated in Fig. 3;
Fig. 10 illustrates an enlarged sectional cross-sectional view of the assembled device
illustrated in Fig. 3;
Fig. 11 illustrates a front elevation view of the assembled device of Figs. 3; and,
Fig. 12 illustrates a plurality of assembled devices as illustrated in Fig. 11 in
a stacked orientation.
DETAILED DESCRIPTION OF NON-LIMITING EMBODIMENTS
[0027] Referring now to the drawings wherein the showings are for the purpose of illustrating
embodiments useful for understanding the invention and not for the purpose of limiting
same, Figs. 3-12 illustrate several platelet concentrate preservation devices 1 that
can be used for platelet concentrate preservation in accordance with the present invention.
[0028] As illustrated in Figs. 3-5, the device 1 includes a hermetically-sealed chamber
10 and a high-strength casing 30. The hermetically-sealed chamber 10 is designed to
accommodate a bag with blood and/or a blood product (not shown in Fig. 3). The high-strength
casing 30 is designed to protect the hermetically-sealed chamber 10, when located
in the high-strength casing, against damage after a gas (e.g., gas or gas mixture)
is fed under pressure into the hermetically-sealed chamber. Such a distribution of
functions between the two components of device 1 allows the hermetically-sealed chamber
10 to be formed of a thin material (without special requirements to its strength),
thus designing the hermetically-sealed chamber as a relatively inexpensive, single
use component. The high-strength casing, on the other hand, is designed to be a reusable
component of device 1.
[0029] As illustrated in Figs. 3, 5, 7 and 8, the hermetically-sealed chamber 10 includes
two parts 11 and 12. The parts are designed to be essentially flat; however, this
is not required. Parts 11 and 12 are illustrated as having recesses 13 and 14, respectively,
in their central areas. When parts 11 and 12 are joined together, these recesses form
a cavity 15, into which a bag with blood product (not shown) is placed. Taking the
shape of standard bags for blood products into account (which is close to rectangular
in a plan view), the cavity of the hermetically-sealed chamber 10 can be generally
shaped as essentially parallelepiped, wherein the legs of which are characterized
by proportions close to those characterizing sides of the bag filled with the blood
product; however, the cavity can have other shapes.
[0030] Referring now to Fig. 8, the hermetically-sealed chamber 10 can include annular grooves
16 and 17 that are located along the perimeter of parts 11 and 12 and which groove
are positioned on the side of recesses 13 and 14. When parts 11 and 12 are joined
together, grooves 16 and 17 form an annular channel, into which a sealing gasket 18
can be positioned. The sealing gasket can have a variety of shapes. The groove can
also have a variety of shapes and sizes. As can be appreciated, only one of the parts
can include a groove. The sealing gasket can be in the form of a ring made of flexible
material (e.g., rubber, polymer material, silicon, etc.). When parts 11 and 12 are
joined-together, gasket 18 provides hermetic sealing of cavity 15.
[0031] Referring now to Figs. 3, 5 and 6, parts 11 and 12 of the hermetically-sealed chamber
10 can be held together in the joined-together state by means of four connecting rods
22 installed on parts 12 on the side of recess 14. As can be appreciated, other or
additional connection arrangements can be used to hold together parts 11 and 12. As
illustrated in Fig. 6, rods 22 can be designed to fit tightly into matched holes 21
made in parts 11. In terms of design, rods 22 and holes 21 can be made so that easy
connection/disconnection and reliable holding in place of both parts 11 and 12 of
hermetically-sealed chamber 10 in the joined-together state can be achieved. In terms
of design, connecting rod 22 can optionally include two parts-cylindrically-shaped
base part 51 that is press-fitted or otherwise fixed in opening 52 of part 12 of hermetically-sealed
chamber 10 and locking part 53 in the form of a sleeve made of flexible material and
cut along its axis. As illustrated in Fig. 6, leaflets 54 (e.g., four leaflets 54)
can include projections 55 with two conical surfaces 56 and 57 on their free ends.
When parts 11 and 12 of hermetically-sealed chamber 10 are joined together, locking
part 53 of connecting rod 22 advances into opening 21 made in part 11 of hermetically-sealed
chamber 10. The ring-shaped protrusion 58 with conical surfaces 59 and 60 can be made
in the wall of opening 21. In the process of the advancement of rod 22 into opening
21, projections 55 of leaflets 54 slide with their conical surface 56 over conical
surface 60 of protrusion 58 of opening 21, and are bent (due to the flexible properties
of the material in the direction of axis) and slide further over protrusion 58. On
reaching the end of protrusion 58 of opening 21, projections 55 of leaflets 54 slide
with their conical surface 57 over conical surface 59 of protrusion 58 and thereafter
leaflets 54 unbend and get engaged with their projection 55 with ring-shaped protrusion
58 of opening 21. The size and location of projection 55, leaflets 54 and ring-shaped
protrusion 58 are selected so that their mutual engagement takes place in the end
position of parts 11 and 12 of hermetically-sealed chamber 10 that are being joined
together. As a result, the above-described joint ensures reliable holding in place
of parts 11 and 12 of hermetically-sealed chamber 10 in the joined-together state,
and the sealing gasket 18 provides hermetic sealing of the joint. Due to the flexibility
of leaflets 54 and conical surfaces of projections 55 and protrusions 58, the described
design of the joint (e.g., connecting rod 22 and opening 21) ensures not only easy
connection of parts 11 and 12, but also easy disconnection. As can be appreciated,
other designs ensuring connection of parts 11 and 12 of hermetically-sealed chamber
10 can be used.
[0032] Both parts 11 and 12 of hermetically-sealed chamber 10 plus connecting rods 22 can
be made, for example, out of plastic using injection molding methods or another method
with selection of suitable materials providing required rigidity of produced articles
and flexible properties of locking part 53 of connecting rods 22. As can be appreciated,
other or additional materials can be used to form hermetically-sealed chamber 10.
As illustrated in Fig. 8, at least one channel 23 and a cavity 15 is formed when parts
11 and 12 are joined together.
[0033] Referring now to Figs. 3 and 4, high-strength casing 30 is formed of two parts 31
and 32 that are designed to be joined together. Each part 31 and 32 of high-strength
casing 30 is embodied as a honeycomb structure having strengthening ribs 33 oriented
in three orthogonal planes and each forming pocket 34 in the central area. As can
be appreciated, the number and orientation of the strengthening ribs on parts 31 and
32 are non-limiting. As also can be appreciated, parts 31 and/or 32 can be absent
strengthening ribs and/or other structures can be included in and/or used on parts
31 and/or 32 to provide structural strength to one or both parts. Pocket 34 is designed
to accommodate at least a portion of hermetically-sealed chamber 10 when parts 31
and 32 are in the joined-together state. The joining of the two pockets together forms
a chamber cavity for chamber 10. The size and depth of pocket 34 is sufficient for
the accommodation of at least a portion (e.g., 40-60%, 50%, etc.) of chamber 10 in
each part 31 and 32 of high-strength casing 30. The height ("h") of pocket 34 is generally
selected to ensure placement of chamber 10 in the pocket with a minimal gap between
the inner surface of the pocket and the outer surface of chamber 10.
[0034] Each part 31 and 32 of high-strength casing 30 can include a flange 35, 36, respectively,
on the open side of pocket 34. Four twist locks 37 can be optionally positioned on
flanges 35 of part 31. The twist locks, when used, can include a fixing catch 38 that
are secured on bar 39 in such a way that the catch 38 is rotatable. As can be appreciated,
the fixing catch can have other configurations. Mating cuts 41 can be formed in flange
36 of part 32. After flange 35 of part 31 and flange 36 of part 32 are joined together,
fixing catches 38 can be turned in the direction of pocket 34, after which they turn
out to be engaged with the rear part of flange 36. Thus, both parts 31 and 32 of high-strength
casing 30 can be reliably fixed in the joined-together state. As can be appreciated,
other or additional connection arrangements can be used to releaseably connect together
parts 31 and 32. Parts 31 and 32 of high-strength casing 30 can be made, for example,
out of plastic (using injection molding method or another method for this purpose)
with selection of suitable materials that provide required rigidity and strength of
manufactured article and which can protects hermetically-sealed chamber 10 from damage
after gas is pumped into it under pressure.
[0035] As illustrated in Fig. 8, a fitting 40 can be used to fluidly connect the inner space
of part 31 and/or 32 (that forms a part of the chamber cavity that is intended for
accommodating a portion of the hermetically-sealed chamber 10). The fitting can be
installed on the end face of part 31 and/or 32 of high-strength casing 30. Fitting
40 is positioned in such a way that when hermetically-sealed chamber 10 is placed
into pocket 34 of part 31 and/or 32, fitting 40 gets hermetically connected with the
inlet channel 23 made in the end face of part 12 of hermetically sealed chamber 10.
For this purpose, fitting 40 has a projecting part 43 on its inner side, and the projecting
part 43 advances into recess 44 made in the end face of part 12 of hermetically-sealed
chamber 10 and connects with inlet channel 23. Hermetic sealing of the connection
can be provided by means of a sealing ring 45 installed in the annular groove made
on the side surface
of projecting part 43. As can be appreciated, other or additional arrangements can
be used ensuring hermetic sealing of the joint between inlet channel made in the end
face of part 12 of hermetically-sealed chamber 10 and fitting 40 that is installed
in the end face of part 31 and/or 32 of high-strength casing 30. The seal between
inlet channel 23 and fitting 40 can be formed prior to or when parts 31 and 32 are
connected together.
[0036] After the hermetically-sealed chamber 10 is placed into the chamber cavity of the
high-strength casing 30, cavity 15 of chamber 10 can be designed to be fluidly connected
to the outside of casing 30 via channel 23 and fitting 40; however, this is not required.
Also, a one-way valve (not shown) can optionally be installed in fitting 40, which,
on the one hand, allows insertion of a gas into cavity 15 of hermetically-sealed chamber
10 and, on the other hand, can be used to prevent gas egress from cavity 15.
[0037] Referring now to Figs. 9-12, another non-limiting embodiment of the device for use
with the method of the present invention is illustrated. In contrast to the embodiment
of the device illustrated in Figs. 3-8, the device illustrated in Figs. 9-12 is characterized
by another design solution for components that provide feeding of a gas into cavity
15 of hermetically-sealed chamber 10, which is capable of feeding gas concurrently
into a plurality of devices 10 that are arranged in a stack configuration. Referring
now to Fig. 9, an end-to-end inlet channel 41 is made in part 31 and/or 32 of high-strength
casing 30. The channel can be oriented generally perpendicular to the horizontal plane
of the device; however, this is not required. A side channel 42 can be designed to
abut the end-to-end channel 41, wherein the side channel 42 is designed to go in the
direction of pocket 34 of part 21 and/or 32 so as to be able to engage with to inlet
channel 23 of hermetically-sealed chamber 10, as previously described above, when
chamber 10 is placed the of chamber cavity of the high-strength casing 30. End fitting
43 can be installed on one end of end-to-end inlet channel 41, and end fitting 44
can be installed on the other end of end-to-end inlet channel 41. End fittings 43
and 44 can optionally include a built-in one-way valve, not shown, through which gas
can be fed into the device. Fitting 45 can be installed inside channel 42; however,
this is not required. Fitting 45 can be designed to ensure airtight joining with hermetically-sealed
chamber 10. This airtight joint is embodied in a similar way as the connection between
fitting 40 and hermetically-sealed chamber 10 that is illustrated in Fig. 6. As such,
once hermetically-sealed chamber 10 is placed into the chamber cavity of high-strength
casing 30, an airtight cavity 15 of hermetically-sealed chamber 10 can be connected
(through inlet channel 23 and fitting 45) with end-to-end inlet channel 41, into which
gas can fed through fittings 43 or 44.
[0038] Fittings 43 and 44 can optionally be made as quick-disconnect couplings, and fitting
43 of one device can be designed in such a way that airtight joining with end fitting
44 of another device can be achieved. Such a design provides the opportunity to arrange
together several devices 1 in a stack configuration by fluidly connecting them together
by means of fittings 43 and 44. As a result, end-to-end inlet channels 41 of devices
1 can be fluidly connected in series, thus forming a single inlet channel, through
which gas can be fed concurrently into all the devices as illustrated in Fig. 12.
[0039] A drainage channel 46 with drainage valve 47 as illustrated in Fig. 10 can optionally
be provided. The drainage channel can be included in part 31 and/or 32 of high-strength
casing 30. The drainage channel 46 is designed to release gas from hermetically-sealed
chamber 10 of the device. Drainage channel 46 can be designed to abut to end-to-end
inlet channel 41 and goes outside part 31 and/or 32 of high-strength casing 30, thereby
connecting end-to-end inlet channel 41 with the ambient atmosphere. Drainage valve
47 (installed in drainage channel 46) enables the release gas from hermetically-sealed
chamber 10 of the device, when necessary or desired. By turning handle 48, drainage
valve 47 can be designed to be opened, thus letting the gas to pass from hermetically-sealed
chamber 10 of the device into the ambient environment. As can be appreciated, other
or additional designs can be used to controllably release gas from hermetically-sealed
chamber 10.
[0040] One non-limiting example of a device 1 for preserving and storing blood products
is illustrated in Fig. 11. The device is shown in the assembled state and the following
device components can be seen: the edge of hermetically-sealed chamber 10 installed
into high-strength casing 30, parts 31 and 32 of which are interconnected by means
of twist locks 37, fittings 43 and 44 intended for feeding gas into device and handle
48 of drainage valve intended for gas release.
[0041] Additionally, parts 31 and 32 of the high-strength casing can optionally have projections
50 and 51 oriented in the opposite directions relative to the horizontal plane of
the device. Projections 50 and 51, when used, are intended for arranging several devices
1 in a stack as illustrated in Fig. 12. Projections 50 can be shifted in the horizontal
plane relative to the lying-opposite projections 51 in such a way that when arranging
several devices in a stack, projections 50 of a device interact with projections 51
of the device located above the first one, and, accordingly, projections 51 interact
with projections 50 of device located below the first one. Projection 51 is illustrated
as having a recess portion that is designed to frictionally engage a portion of projection
50 when the devices are stacked together. Due to such an approach, projections 50
and 51 keep the stacked devices in place as shown in Fig. 12. Additionally, projections
50 and 51 can optionally be equipped with fasteners (e.g., screws, clamps, clips,
etc.) not shown, which can be used to releasable secure together a plurality of stacked
devices 1 to provide higher reliability of connecting together the stacked-together
devices. This can be advantageous when a plurality of stacked devices are to be transported.
As can be appreciated, other or additional configurations can be used to ensure in
the releasably connecting together of several stacked devices.
[0042] The above-described device can be used to preserve and store blood products that
use a method wherein the preservation and storage takes place in a gas medium, including
the situation where the method takes place under conditions of increased pressure.
For instance, the device can be used when implementing blood product preservation
methods described in
US 2010/0009334.
[0043] In accordance with the method of the present invention, the device can function as
follows: A blood product, specifically a platelet concentrate, is placed in a bag
made of gas-permeable material. The material used for bag manufacturing should be
characterized by adequate gas permeability. Specifically, as implementing the preservation
method involves the use of xenon, the bag material is necessarily permeable for xenon.
For instance, bags for platelet concentrate storage produced by CardianBCT (Lakewood,
CO) and characterized by the above-indicated gas-permeability feature can be used
for this purpose. The blood product to be preserved can be obtained through the use
of well-known methods and appropriate available equipment.
[0044] The hermetically-sealed bag with the blood product is placed in cavity 15 that is
formed as a result of joining together parts 11 and 12 of hermetically-sealed chamber
10. An easy-to-use and reliable joining arrangement of parts 11 and 12 of hermetically-sealed
chamber 10 can be used as above-described, wherein openings 21 are made in part 11
and connecting rods 22 are installed on part 12 of hermetically-sealed chamber 10.
After the joining together of parts 11 and 12 (using sealing gasket 18 for this purpose),
the bag with blood product is positioned in cavity 15 of hermetically-sealed chamber
10. The cavity 15 is connected with the outside only by means of inlet channel 23.
Thereafter, parts 31 and 32 of high-strength casing 30 are inserted about hermetically-sealed
chamber 10 to thereby position chamber 10 in the chamber cavity of the high-strength
casing 30, which chamber cavity is formed by the joining together of pockets 34 of
parts 31and32. The fixing catches 38 of twist locks 37, when used, are turned in advance
in the opposite direction from pocket 34. Parts 31 and 32 are joined together when
flanges 35 and 36 are fit tightly together and thereafter fixing catches 38 of twist
locks 37 are turned, thus releasably connecting together parts 31 and 32. Fitting
42 is designed to connect hermetically with channel 23 of hermetically-sealed chamber
10, as a result of which cavity 15 of hermetically-sealed chamber 10 (after the latter
has been placed into high-strength casing 30) turns out to be connected with the outside
only through channel 23 and fitting 40. As described above, the one-way valve installed
in fitting 40 provides unidirectional passage of gas into cavity 15 of hermetically-sealed
chamber 10. Pockets 34 of parts 31 and 32 are also designed to be hermetically joined
when parts 31 and 32 are connected together.
[0045] The gas that is required in compliance with the used preservation method is then
fed under pressure that is greater than atmospheric pressure at sea level into cavity
15 of hermetically-sealed chamber 10 through fitting 40. The gas is fed until the
pressure in cavity 15 reaches a required value, after which gas feeding is terminated
and the device is disconnected from the gas feeding system. The gas feeding system
(not shown) may comprise a high-pressure bottle containing gas mixture of a required
composition and tubing with a manometer and controlled valve made in such a way that
it is possible to connect it hermetically with fitting 40. As can be appreciated,
other or additional arrangements of the gas feeding system can be used.
[0046] Subsequently, the device in the above-indicated state is kept during a certain period
of time sufficient for the blood product to achieve the desired saturation with the
appropriate component of gas pumped into the device. After that, the device can be
placed for storage at pre-specified temperatures (e.g., into a refrigerator). In accordance
with the invention, the gas system is a gas mixture comprising xenon, the gas system
is fed into the cavity of the chamber to at least partially saturate the platelet
concentrate with xenon, and the bag is maintained in the cavity of the chamber in
the presence of the gas system for at least 0.001 hours.
[0047] When implementing the method described in
US 2010/0009334, a bag with platelet concentrate is first placed in a hermetically-sealed chamber
10, which is then placed in high-strength casing 30, after which a gas feeding system
is connected through fitting 40. A gas mixture containing xenon (e.g., at least 50-65%
xenon) serves as the gas. Due to the fact that the bags are made of gas-permeable
material for xenon, the platelet concentrate (contained in the bags) is saturated
with xenon, and creates conditions (namely, composition, pressure exerted by gas mixture
and temperature) to provide preservation of the platelet concentrate in the bag. Subsequently,
the device is stored in a refrigerator at a temperature approximately from 3°C to
6°C. It is desirable to place the device in a horizontal position. Taking the geometrical
relationship of sides (indicated above) of the hermetically-sealed chamber and the
device as a whole into account, a bag with blood product is stored in a position to
ensure maximum area and minimum thickness of sediment formed in the course of platelet
sedimentation during storage. However, if necessary, the blood product can be stored
at a different orientation in the device.
[0048] Prior to using the preserved blood product, the device is taken out from the refrigerator.
If necessary, prior to unsealing the device, it can optionally be placed on a shaker
for stirring the blood product contained in the bag. A sediment of formed elements
of blood (produced in the course of storage) can then be transformed into the suspension
as a result of stirring, while the increased pressure maintained during stirring inhibits
or prevents generation of gas bubbles in the blood product.
[0049] Thereafter, the gas is released from the hermetically-sealed chamber 10 (for instance,
using a drainage valve for this purpose-as shown in Fig. 10), and after the pressure
in cavity 15 is equalized with atmospheric pressure, the hermetically-sealed chamber
10 is opened and the bag with blood product is taken out from the chamber. Prior to
using the blood product, the bag can be kept for a certain time period until it warms
up naturally (e.g., to room temperature) and the gas pressure inside the bag equalizes
with atmospheric pressure.
[0050] Another example for a platelet concentrate preservation method is set forth as follows:
A platelet concentrate (not shown) is placed in a bag made of material that is at
least permeable for xenon and oxygen. For example, bags for platelet concentrate storage
produced by CardianBCT (Lakewood, CO) characterized by the above-indicated gas-permeability
feature could be used for this purpose.
[0051] The bag containing the platelet concentrate is hermetically-sealed.
[0052] The hermetically-sealed bag with platelet concentrate is placed in cavity 15 formed
as a result of joining together parts 11 and 12 of chamber 10. After joining parts
11 and 12 together, the bag with the platelet concentrate (not shown in Figs. 3 and
4) is positioned in chamber 10 (e.g., the chamber is hermetically-sealed) and the
inner space of cavity 15 is fluidly connected with channel 23.
[0053] Parts 31 and 32 of high-strength casing 30 are inserted about chamber 10 and are
connected together (e.g., with fixing catches 38 of twist locks 37 being turned in
advance in the opposite direction from opening 34). Parts 31 and 32 are joined together
to the point when flanges 35 and 36 fit tightly, after which fixing catches 38 of
twist locks 37 are rotated, thus fixing parts 31 and 32 in the joined-together state.
In this process, fitting 42 gets connected hermetically with channel 23 of hermetically-sealed
chamber 10. As such, cavity 15 of chamber 10 is fluidly connected to channel 23 and
fitting 42 to enable gas to be inserted and/or removed from chamber 10 via channel
23 and filling 42. A valve (e.g., one-way, etc.) can be installed in fitting 42 to
provide controlled (e.g., unidirectional, etc.) passage of gas into and/or out of
cavity 15 of chamber 10.
[0054] After the bag has been placed into the platelet concentrate preservation device,
a gas mixture with xenon, xenon and oxygen (e.g., 79-95% xenon and 5-21% oxygen),
or xenon and one or more other gasses (e.g., air, oxygen, nitrogen, etc.) is pumped
(e.g., under pressure) into cavity 15 of chamber 10 via channel 23 and fitting 42.
The gas mixture is fed until the pressure in cavity 15 reaches a desired value (e.g.,
3.5-5 bars above atmospheric pressure, etc.), after which the device is disconnected
from the gas source. The system for feeding the gas mixture (not shown) may include
a high-pressure bottle containing the gas mixture and tubing with a manometer and
a controlled valve that is made in such a way that it is possible to connect it hermetically
with fitting 42. As can be appreciated, other or additional arrangements for the system
for feeding the gas mixture can be used.
[0055] The step of feeding the gas mixture to chamber 10 can be carried out at a temperature
of ambient environment and the gas mixture having a temperature of about 20°C to 24°C;
however, other temperatures can be used.
[0056] The platelet concentrate preservation device, after being fed the gas mixture, is
generally kept in the above-described state for a time period sufficient for partial
or full saturation of the platelets with xenon. To reduce this time period and to
ensure a higher-degree saturation of the platelets with xenon, the platelet concentrate
can optionally be additionally stirred (e.g., placing the device on a shaker [i.e.,
a standard shaker for platelet concentrate storage could be used for this purpose],
etc.).
[0057] The platelet concentrate preservation device, after desired xenon saturation of the
platelet concentrate is obtained, can be placed in a refrigerator, in which it is
stored at a desired temperature (e.g., 3°C to 6°C). A standard refrigerator that is
conventionally used for storing blood components can be used for this purpose. Due
to the fact that the bags are made of a gaspermeable material, the platelet concentrate
(contained in the bags) is partially or fully saturated with xenon, and creates conditions
(namely, composition, pressure exerted by gas mixture and temperature) that provide
for the preservation of platelet concentrate in the bag. The platelet concentrate
preservation device can be stored in the refrigerator with the bag being in the generally
horizontal position.
[0058] Prior to using the preserved platelet concentrate, the platelet concentrate preservation
device is taken out of the refrigerator and optionally placed on a shaker for stirring.
The platelet pellet that has formed during the storage period is transformed (e.g.,
broken up, etc.) as a result of stirring, and the increased pressure maintained in
the course of stirring inhibits or prevents generation of gas bubbles in the platelet
concentrate. After the optional shaking or stirring step, the valve in fitting 42
is opened and any excess pressure is released from cavity 15. Thereafter, chamber
10 is opened and the bag with platelet concentrate is removed from chamber 10. Prior
to using the platelet concentrate, the bag is held for a certain time period to enable
the bag to warm up (e.g., naturally warm to room temperature) and to allow the gas
pressure inside the bag to equalize with atmospheric or ambient pressure.
[0059] Another example for a platelet concentrate preservation method is set forth as follows:
A platelet concentrate (not shown) is placed in a bag made of material that is at
least permeable for xenon and oxygen. For example, bags for platelet concentrate storage
produced by CardianBCT (Lakewood, CO) characterized by the above-indicated gas-permeability
feature could be used for this purpose.
[0060] The bag containing the platelet concentrate is hermetically sealed.
[0061] The hermetically-sealed bag with platelet concentrate is placed in cavity 15 formed
as a result of joining together parts 11 and 12 of chamber 10. After joining parts
11 and 12 together, the bag with the platelet concentrate (not shown in Figs. 3-12)
is positioned in chamber 10 (e.g., the chamber is hermetically sealed) and the inner
space of cavity 15 is fluidly connected with channel 23.
[0062] Parts 31 and 32 of high-strength casing 30 are inserted about chamber 10 and are
connected together (e.g., with fixing catches 38 of twist locks 37 being turned in
advance in the opposite direction from opening 34). Parts 31 and 32 are joined together
to the point when flanges 35 and 36 fit tightly, after which fixing catches 38 of
twist locks 37 are rotated, thus fixing parts 31 and 32 in the joined-together state.
In this process, fitting 42 gets connected hermetically with channel 23 of hermetically-sealed
chamber 10. As such, cavity 15 of chamber 10 is fluidly connected to channel 23 and
fitting 42 to enable gas to be inserted and/or removed from chamber 10 via channel
23 and filling 42. A valve (e.g., one-way, etc.) can be installed in fitting 42 to
provide controlled (e.g., unidirectional, etc.) passage of gas into and/or out of
cavity 15 of chamber 10.
[0063] After the bag has been placed into the platelet concentrate preservation device,
a gas mixture with xenon and oxygen (e.g., 79-95% xenon and 5-21% oxygen) is pumped
(e.g., under pressure) into cavity 15 of chamber 10 via channel 23 and fitting 42.
The gas mixture is fed until the pressure in cavity 15 reaches a desired value (e.g.,
3.5-5 bars. etc.), after which the device is disconnected from the gas source. The
system for feeding the gas mixture (not shown) may include a high-pressure bottle
containing the gas mixture and tubing with a manometer and a controlled valve that
is made in such a way that it is possible to connect it hermetically with fitting
42. As can be appreciated, other or additional arrangements for the system for feeding
the gas mixture can be used.
[0064] The step of feeding the gas mixture to chamber 10 can be carried out at a temperature
of ambient environment and the gas mixture having a temperature of about 20°C to 24°C;
however, other temperatures can be used.
[0065] The platelet concentrate preservation device, after being fed the gas mixture, is
generally kept in the above-described state for a time period sufficient for partial
or full saturation of the platelets with xenon. To reduce this time period and to
ensure a higher-degree saturation of the platelets with xenon, the platelet concentrate
can optionally be additionally stirred (e.g., placing the device on a shaker [i.e.,
a standard shaker for platelet concentrate storage could be used for this purpose],
etc.).
[0066] The platelet concentrate preservation device, after desired xenon saturation of the
platelet concentrate is obtained, can be placed in a refrigerator, in which it is
stored at a desired temperature (e.g., 3°C to 6°C). A standard refrigerator that is
conventionally used for storing blood components can be used for this purpose. Due
to the fact that the bags are made of a gas-permeable material, the platelet concentrate
(contained in the bags) is partially or fully saturated with xenon, and creates conditions
(namely, composition, pressure exerted by gas mixture and temperature) that provide
for the preservation of platelet concentrate in the bag. The platelet concentrate
preservation device can be stored in the refrigerator with the bag being in the generally
horizontal position.
[0067] Prior to using the preserved platelet concentrate, the platelet concentrate preservation
device is taken out of the refrigerator and optionally placed on a shaker for stirring.
The platelet pellet that has formed during the storage period is transformed (e.g.,
broken up, etc.) as a result of stirring, and the increased pressure maintained in
the course of stirring inhibits or prevents generation of gas bubbles in the platelet
concentrate. After the optional shaking or stirring step, the valve in fitting 42
is opened and any excess pressure is released from cavity 15. Thereafter, chamber
10 is opened and the bag with platelet concentrate is removed from chamber 10. Prior
to using the platelet concentrate, the bag is held for a certain time period to enable
the bag to warm up (e.g., naturally warm to room temperature) and to allow the gas
pressure inside the bag to equalize with atmospheric or ambient pressure.
[0068] A set of experiments was staged to verify the implementation of a platelet concentrate
preservation method according to the present disclosure and to confirm the obtainment
of the above-indicated results as compared to the known methods.
Experiment 1
[0069] The platelet concentrate was placed into plastic bags intended for platelet concentrate
storage. The bag with platelet concentrate was placed in the above-described device
(see Figs. 3-12), into which a gas mixture containing 87% xenon and 13% oxygen was
pumped under pressure into cavity 15. After keeping the platelet concentrate preservation
device a period of 3.5 hours at room temperature (e.g., 22°C), the platelet concentrate
preservation device was placed in a refrigerator (temperature of approximately 4°C).
The platelet concentrate was stored for a period of 14 days.
[0070] The platelet concentrate was obtained by the standard method used in clinics - by
means of an aphaeresis apparatus, Trima Accel®, with the use of standard bags having
gas-permeable walls for platelet concentrate storage. These bags were available from
CardianBCT (Lakewood, CO). The parameters for obtaining the platelet concentrate were
as follows:
- a. relationship of blood to anticoagulant when taking blood sample 11: 1;
- b. volume of platelet concentrate in one bag 200-300 ml;
- c. platelet concentration - (1, 1.5) x 109 cells per ml.
[0071] To verify the method claimed herein, six (6) experimental bags with platelet concentrate
from different donors were used and five (5) control (reference) bags with platelet
concentrate from different donors were used. The preservation method described in
the method and device for preserving blood or its components in gas medium under pressure
and system for same (PCT Application Serial No.
PCT/US2012/043449 [
WO 2012/177820]) was used for the bags of the control (reference) group, and the gas mixture composition
in these bags was the one described in the method for preserving platelets in the
gas mixture (PCT Application No.
PCT/US2012/057211 [
WO 2012/049118]).
[0072] The experimental bags were stored in a generally horizontal position. Upon completion
of storage, the platelet concentrate preservation device with the experimental bags
was taken out from the refrigerator and placed on an orbital shaker. Stirring was
conducted at room temperature (approximately 22°C) for a time period of about ten
(10) minutes with a rotation frequency of 150 min
-1 (rpm). After the shaking step, the pressure of the gas mixture was released from
cavity 15, and the bag was taken out of the platelet concentrate preservation device
and kept for three (3) hours at room temperature (without stirring) to allow the bag
to naturally warm up and to allow the pressure in the bag to equalize with the ambient
atmosphere at sea level (e.g., 1 atm.).
[0073] The control (reference) bags were stored in a vertical position. Upon completion
of storage, the storage device that included the control (reference) bag was taken
out from the refrigerator and the pressure of the gas mixture was released from the
storage device. The extracted bag was then carefully crumpled to eliminate the platelet
pellet. Thereafter, the bag was taken out from the storage device and kept for three
(3) hours at room temperature (without stirring) to allow the bag to naturally warm
up and to allow the pressure in the bag to equalize with the ambient atmosphere at
sea level (e.g., 1 atm.).
[0074] Counting of the cells and the taking of measurements of the aggregation level of
the experimental bags and control bags was used to determine the quality of platelet
concentrate to compare the two preservation and storage processes.
[0075] Cell Count -
a parameter indicating the degree of platelet population preservation after storage. This parameter is calculated as a percentage from the number of cells in the beginning
of experiment - i.e., prior to starting the platelet concentrate preservation. A high
percentage of preserved cells indicates that a small number of flakes and micro-aggregates
were formed during storage as a result of platelets sticking together. The cells were
counted before and after storage with the use of Guava EasyCyte 5HT Flow Cytometer
- which can directly determine cell concentration in a sample being analyzed.
[0076] Aggregation -
a functional indicator of cell activity. This measurement indicates the ability of stored platelets to produce clots in blood
vessels with damaged walls after transfusion. The platelets' level of aggregation
was determined by means of a SOLAR AP-2110 (Belarus) aggregometer by turbidimetric
method (
Jarvis GE., "Platelet aggregation: turbidimetric measurements" Methods Mol Biol 272:65-76
(2004) with the use of an ADP and an epinephrine as inducing factors for the mixture. This
method is used to measure (in percentage terms) the variation in platelet suspension
transparency after the addition of an aggregation agent.
[0077] To obtain data for the above-named parameters, each sample was measured 3-5 times.
Measurement results are illustrated in Figs. 1 and 2 as an arithmetic means. Statistical
processing of the results and the graph plotting was performed using a GraphPad Prism2®
version 6.01 for Windows, GraphPad Software (La Jolla California USA, www.graphpad.com).
Each point on the graphs in Figs. 1 and 2 corresponds to an arithmetic mean for 3-5
measurements for a specific donor, while the columns give an arithmetic mean for experimental
(Horizontal) and control/reference (Vertical) groups of donors. Also, standard error
(SEM) is shown in Figs. 3 and 4. A T-test was used to compare the experimental and
control (reference) groups. The difference in the results is shown in the graphs as
"P<0.01" (the difference is reliable) or "ns" (the difference is unreliable).
[0078] It can be seen from Fig. 1 that the platelet preservation method in accordance with
the present disclosure results in an increased number of preserved platelets by over
20% (on average) as compared to prior art preservation methods. Such a difference
is statistically reliable (P=0.0083).
[0079] It can be seen from Fig. 1 that the platelet preservation method in accordance with
the present disclosure does not impair the functional properties of platelets. The
platelets level of aggregation in the experimental group is higher by over 10% (on
average) than that for the control (reference) group, though this difference is considered
to be statistically unreliable (P=0.1407).
[0080] As such, the method in accordance with the present disclosure enables one to store
platelet concentrate more efficiently, prevent the sticking of platelets together,
and not impair the functional properties of the platelets. The aphaeresis platelet
concentrate (obtained through the use of standard methods) and standard plastic bags
intended for platelet concentrate storage could be used with the method. The absence
of dense deposit in the end of storage period allows for improved quality and safety
of platelet concentrate that is transfused to patients.
[0081] It will thus be seen that the objects set forth above, among those made apparent
from the preceding description, are efficiently attained, and since certain changes
may be made in the constructions set forth without departing from the scope of the
invention, it is intended that all matter contained in the above description and shown
in the accompanying drawings shall be interpreted as illustrative and not in a limiting
sense. The invention has been described with reference to preferred and alternate
embodiments. Modifications and alterations will become apparent to those skilled in
the art upon reading and understanding the detailed discussion of the invention provided
herein. The invention is defined in the appended claims.
1. Ein Verfahren zur Lagerung von Thrombozytenkonzentrat, das Folgendes beinhaltet:
a. Platzieren eines Thrombozytenkonzentrats in einen hermetisch versiegelten Beutel,
wobei der Beutel aus einem für ein Gassystem durchlässigen Material gebildet ist,
wobei das genannte Gassystem ein Xenon beinhaltendes Gasgemisch ist;
b. Platzieren des Beutels in einem Hohlraum (15) einer Kammer (10), wobei die genannte
Kammer erste und zweite Kammerteile (11, 12) umfasst, die den genannten Hohlraum bilden,
wenn sie lösbar miteinander verbunden sind;
c. Platzieren der genannten Kammer, die den genannten Beutel umfasst, in einen Kammerhohlraum
eines hochfesten Gehäuses (30), wobei das genannte hochfeste Gehäuse erste und zweite
Gehäuseteile (31, 32) umfasst, die den genannten Kammerhohlraum bilden, wenn sie lösbar
miteinander verbunden sind;
d. Einleiten des genannten Gassystems in den genannten Hohlraum der genannten Kammer,
um das genannte Thrombozytenkonzentrat mindestens teilweise mit Xenon zu sättigen,
wobei das genannte Gassystem unter einem Druck, der höher ist als der Luftdruck auf
Meeresspiegel, in die genannte versiegelte Kammer eingeleitet wird; und
e. Halten des genannten Beutels des genannten Thrombozytenkonzentrats in dem genannten
Hohlraum der genannten Kammer in genannter Gegenwart des genannten Gassystems für
mindestens 0,001 Stunden.
2. Verfahren nach Anspruch 1, das ferner den folgenden Schritt umfasst:
f. nachdem das genannte Thrombozytenkonzentrat eine gewünschte Sättigung des genannten
mindestens einen Gases in dem genannten Gassystem erreicht hat, Kühlen des genannten
Beutels, der das genannte Blut, Blutkomponenten oder Kombinationen davon enthält,
in einem Kühlsystem bis zu einer Lagertemperatur, wobei die genannte Lagertemperatur
geringer als etwa 15 °C und höher als ein Gefrierpunkt des genannten Bluts, der Blutkomponenten
oder Kombinationen davon ist und wobei die genannte Temperatur bevorzugt 0,01 °C bis
15 °C beträgt.
3. Verfahren nach Anspruch 2, das ferner die folgenden Schritte umfasst:
g. Ablassen des genannten Drucks in der genannten Kammer;
h. Entfernen der genannten Kammer von dem genannten Kammerhohlraum;
i. Entfernen des genannten Beutels aus dem Hohlraum der genannten Kammer; und
j. Erwärmen des genannten Beutels auf mehr als die genannte Lagertemperatur.
4. Verfahren nach einem der Ansprüche 1-3, das ferner den Schritt des Schüttelns, Rührens
oder einer Kombination davon des genannten Thrombozytenkonzentrats in dem genannten
Beutel vor einer Transfusion für einen Patienten umfasst.
5. Verfahren nach einem der Ansprüche 1-4, das ferner den Schritt des Ausrichtens des
genannten Beutels in einer allgemein horizontalen Position für einen gewünschten Zeitraum
bei der genannten Lagertemperatur umfasst.
6. Verfahren nach einem der Ansprüche 1-5, wobei der genannte Hohlraum der genannten
Kammer ein hermetisch versiegelbarer Hohlraum ist.
7. Verfahren nach einem der Ansprüche 1-6, wobei das genannte Gassystem einen Xenongehalt
aufweist, der höher ist als ein in der Luft auf Meeresspiegel natürlich vorkommender
Xenongehalt, und wobei das genannte Gasgemisch bevorzugt zu etwa 50 Volumen-% bis
99,9 Volumen-% Xenon und zu etwa 0 Volumen-% bis 50 Volumen-% Sauerstoff umfasst.
8. Verfahren nach einem der Ansprüche 1-7, wobei das genannte Gasgemisch der genannten
Kammer unter einem Druck zugeführt wird, der um mindestens 1 bar über dem Luftdruck
auf Meeresspiegel liegt.
9. Verfahren nach einem der Ansprüche 1-8, wobei das genannte Gasgemisch in die genannte
Kammer eingeleitet wird, während das genannte Thrombozytenkonzentrat eine Temperatur
von etwa 18 °C bis 35 °C aufweist.
10. Verfahren nach einem der Ansprüche 1-9, wobei das genannte Gasgemisch der genannten
Kammer zugeführt wird, bis das genannte Thrombozytenkonzentrat zu mindestens 50% mit
Xenongas gesättigt ist.
11. Verfahren nach einem der Ansprüche 1-10, wobei der genannte Schritt des Haltens des
genannten Beutels des genannten Thrombozytenkonzentrats in der genannten Kammer in
der genannten Gegenwart des genannten Gasgemischs für 0,001-10 Stunden erfolgt.
12. Verfahren nach einem der Ansprüche 1-11, wobei die genannte Kammer einen Einlasskanal
umfasst, der eine Fluidverbindung von dem genannten Hohlraum zu einem Gehäusekanal
in dem genannten hochfesten Gehäuse herstellt, um zu erlauben, dass eine Gasquelle,
die das genannte Gassystem umfasst, mit dem genannten hochfesten Gehäuse verbunden
wird, sodass das genannte Gassystem durch das genannte hochfeste Gehäuse und in den
genannten Hohlraum der genannten Kammer hinein fließen kann, wobei
der genannte Einlasskanal optional hermetisch gegen den genannten Gehäusekanal versiegelt
ist, wenn die genannte Kammer in dem genannten Kammerhohlraum positioniert ist und
die genannten ersten und zweiten Teile des genannten hochfesten Gehäuses miteinander
verbunden sind, und wobei
das genannte Material, das zum Bilden des genannten hochfesten Gehäuses verwendet
wird, optional mindestens etwa 2 mal stärker ist, mindestens 2 mal starrer ist oder
Kombinationen davon als ein zum Bilden der genannten Kammer verwendetes Material.
13. Verfahren nach einem der Ansprüche 1-12, wobei die genannte Kammer mindestens etwa
70% eines Volumens des genannten Kammerhohlraums füllt, wenn die genannte Kammer in
dem genannten Kammerhohlraum positioniert ist, und bevorzugt eine Außenfläche der
genannten Kammer um einen maximalen Abstand von etwa 0,00254 cm bis 1,27 cm (0,001-0,5
Zoll) von einer Innenfläche des genannten Kammerhohlraums beabstandet ist, wenn die
genannte Kammer in dem genannten Kammerhohlraum positioniert ist.